Referral Specialist for Insurance Operations

6 days ago


Vancouver, Washington, United States PeaceHealth Full time

We are seeking a skilled Referral Specialist to join our team in the insurance operations department at PeaceHealth.

Job Summary

This role involves processing and documenting referral or prior authorization requests from clinical areas, providing exceptional customer service and support to patients and practitioners alike. As a key member of our team, you will oversee data entry and completion of referral forms/notifications, ensuring insurance carrier documentation requirements are met.

Responsibilities
  • Process and document referral or prior authorization requests from clinical areas.
  • Manage correspondence with patients, physicians, specialists, and insurance companies.
  • Collaborate with Patient Financial Services to improve Revenue Cycle processes.
  • Stay up-to-date with changes in Managed Care processes, communication, and patient care.
Requirements
  • Bachelor's degree in Business or related field (or equivalent experience).
  • Minimum 3 years' experience working in insurance in a medical-related field or other related experience.
  • Demonstrated experience in insurance requirements for referrals and/or prior authorizations.
Estimated Salary Range

The estimated salary range for this position is between $65,000 - $80,000 per year, based on industry standards and location.

As a valued member of our team, you can expect a comprehensive total rewards package, including full medical/dental/vision coverage, 403b retirement plan employer base and matching contributions, paid time off, and more.



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